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South Dakota rates for HCPCS K0195

Elevating legrests, pair (for use with capped rental wheelchair base)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $117.49 / $151.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $97.72 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $158.49 / $194.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $181.97 / $371.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $11.48 / $162.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $13.80 / $162.18
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $177.83 / $177.83